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I will join in the piling on exercise. Politifact, which is supposed to verify the veracity of claims made by politicians, jumped into the world of language devoid of meaning in its selection of the "lie of the year."
Politifact's "lie of the year" was the claim by Democrats that the House Republicans voted to end Medicare when they voted for Representative Ryan's system of premium supports, or vouchers. Under this plan, people who turn age 65 after 2022 would not get the traditional Medicare plan. Under the Ryan plan, seniors would be given a sum of money by the government, which they could then use to buy into a range of plans. The proposal includes no guarantee that the money provided by the government would be sufficient to purchase an adequate plan. The Congressional Budget Office's (CBO) projections imply that it would be grossly insufficient to pay for a Medicare equivalent policy.
Those are the basic facts [read the CBO analysis and/or the projections that we derived from the CBO analysis]. Given these facts, how can it be a "lie" to say that the Republicans voted to get rid of Medicare?
In the Politifact world, if a company replaces its defined benefit pension with a 401(k) plan, workers who said that the company was getting rid of the pension would be liars. The Medicare system has existed as a fee for service program for almost half a century. It does allow for other options, but people have always been able to choose the traditional fee for service plan and the vast majority of beneficiaries have always chosen this option.
Representative Ryan and his Republican colleagues in Congress voted to take away this option for people turning age 65 after 2022. That is the truth on Planet Earth, in Politifact-land this counts as not only a lie, but as the "lie of the year."
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But I hope I'm not simply reacting defensively when I question your recommendation for importing more foreign physicians, as competition, to correct our excessive medical costs.
Our medical costs are driven by our physicians, hospital administrators, and drug and device manufacturers. We currently bring many foreign physicians here, both primary care and specialty care. I am not aware of any study that shows they practice differently from the physicians in the communities they join. The difference between high-cost communities and lower-cost communities is the result of physician practice choices, as most fluently described by Atul Gawande, MD, in the New Yorker (e.g.,the 6/1/09 issue and his 6/23/09 blog post).
Can you direct me to any study that shows foreign-born and/or trained physicians practice more cost-effective medicine in America than other physicians?
I know this current post wasn't directed to this point, but you've brought it up several times in posts which I didn't see right away. I agree our costs are excessive and would do more to bring them down, if I knew what that would be (I suspect restricting physicians' freedom to order any test or treatment they wished would have to be part of it).